How do you plan urgent radiation therapy for vaginal bleeding caused by locally advanced cervical cancer?
What dose and technique do you use and how do you integrate the subsequent definitive treatment plan?
Answer from: Radiation Oncologist at Academic Institution
Agree with @Sushil Beriwal, we do the same and start at 1.8. Vaginal packing (you can treat with the packing in), transfuse if needed given bleeding. 4-field to start and can turn around a box within a couple hours, and then switch to IMRT as soon as approved. We also try to start the chemo quickly....
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Answer from: Radiation Oncologist at Academic Institution
Generally, my approach has been vaginal packing, support and start chemo plus pelvic RT with 1.8 Gy per fraction as an in-patient to expedite treatment if based on imaging that the patient has non metastatic disease. This approach does help most of the time in slowing down bleeding. Sometimes if it ...
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Radiation Oncologist at University of Texas Health Science Center at San Antonio
Do you start with a conventional AP-PA plan to exp...
Do you start with a conventional AP-PA plan to exp...
Radiation Oncologist at UPMC Hillman Cancer Center
3D conformal 4 field.
3D conformal 4 field.
Radiation Oncologist at Montefiore Med Center AECOM
Do you then lower the brachytherapy dose given the...
Do you then lower the brachytherapy dose given the...